How to detect hidden premature heart beats? The doctor of the physical examination department will answer

Recently, a 17-year-old male middle school student living in Yuhua District came to the Health Service Center of Hunan Want Want Hospital for a physical examination. The initial examination found that the electrocardiogram did not capture any abnormalities, but during the subsequent internal and external examinations, the doctor found that his heart rhythm was irregular during auscultation. He then asked the student if he felt panic and discomfort at the moment. The student described that he often felt a sudden throb in his heart after being tired recently, which would go away in a few seconds. This was the feeling just now.

At this time, the doctor immediately took the student to perform another electrocardiogram, and the results showed frequent atrial premature beats with intraventricular differential conduction. Because the problem was discovered in time, the parents took the child to the cardiovascular department clinic for further diagnosis and treatment at the doctor's reminder.

Hidden heart problems are sometimes "transient". The physical examination doctors from Hunan Want Want Hospital Health Service Center will help you understand them.

Health Science:

1. Is it “safe and sound” if no abnormalities are found in an electrocardiogram?

A routine electrocardiogram only records about 10 seconds of cardiac electrical activity. If premature beats are occasional or only occur at specific times (such as during exercise or at night), they may not be captured and missed if they do not occur during the examination.

2. Why can internal and external surgical examinations detect premature beats that are missed by the electrocardiogram?

During internal and external medical examinations, doctors' health checks using a stethoscope and pulse palpation are often the first line of defense for detecting abnormalities. During auscultation, doctors may find abnormal heart sounds or arrhythmias caused by premature beats through a stethoscope; when palpating the pulse, premature beats may appear as irregular pulses, which are easier to detect when they occur frequently.

3. Pay attention to abnormal conditions in your body

If you feel symptoms such as "a sudden skip of a beat in your heart" or "tightness in your throat", you may have premature beats. Timely health checks can help identify your body's "warning signs".

4. What are the symptoms and dangers of premature beats?

Most people experience premature beats occasionally, especially young people, so there is no need to worry too much. A few may be "warning signs" of heart disease. If it is "ventricular premature beats", you need to be alert if they occur frequently, accompanied by persistent chest pain, chest tightness, difficulty breathing, dizziness, blacking out, or a history of heart disease (such as heart failure, myocardial infarction), etc., you need to pay attention and seek medical attention in time.

5. What are the common causes of premature beats?

1. Physiological factors: mood swings, anxiety, stress, staying up late, alcohol, tobacco, etc.

2. Pathological factors: heart disease (coronary heart disease, myocarditis, etc.), systemic diseases (hyperthyroidism, anemia, electrolyte imbalance, etc.), drug effects (certain cold medicines, antiarrhythmic drugs, hormone drugs, etc.).

3. Others: Myocardial degeneration and autonomic nervous system dysfunction in the elderly.

6. What should you pay attention to when discovering premature beats?

1. Lifestyle adjustment: avoid coffee, strong tea, quit smoking and limit alcohol. Take regular breaks, avoid staying up late, and ensure adequate sleep.

2. Manage your emotions well: relieve anxiety and avoid long-term high-pressure situations.

3. If premature beats persist, follow-up with a cardiologist is recommended to develop an individualized plan.

4. Regular physical examinations: especially for those with a history of heart disease.

5. Exercise advice: Consult a doctor before exercising. Avoid sudden and strenuous exercise. If you experience palpitations or chest tightness during exercise, stop and rest immediately.

Hunan Want Want Hospital Health Service Center kindly reminds you: The diagnosis and treatment of premature beats requires a comprehensive assessment of symptoms and causes. If symptoms persist, be sure to see a doctor as soon as possible for a clear diagnosis. Many diseases have no obvious symptoms in the early stages. Early screening through health examinations, timely detection of hidden dangers, regular monitoring and adjustment of lifestyle can reduce the risk of disease.

Hunan Medical Chat Special Author: Pan Rong from Hunan Want Want Hospital Health Service Center

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(Edited by YT)